I have been following the group for a while. My claim is currently sitting in “Pending Decision Approval”. My question is in regards to my C&P exam. In the notes section of the C&P under GW, the doctor states, “...is less likely than not”. However, directly below that under medical opinion, he states “...is at least as likely as not occurred in service”. Why would he have this distinction? All of my claims were for Gulf War syndrome. The C&P looks favorable for service connection, but not Gulf war. Am I missing something? Are there any thoughts on why he separated these items?